Active NPI
Kevin Paul O'Flaherty, PHD
- Audiologist
- New York, NY
National Provider Identifier
1285622423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0002641
- Practice address
- 34 E 67TH St
Suite 4F
New York, NY 10021-6119 - Phone
- (212) 628-2710
- Fax
- (212) 628-3580
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0002641 | NY | Primary |
Addresses
Primary practice location
34 E 67TH St
Suite 4F
New York, NY 10021-6119
Mailing address
34 E 67TH St
Suite 4F
New York, NY 10021-6119
Phone (212) 628-2710
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133691938 | Other | UNITED HEALTHCARE | |
| OK0264 | Other | ATLANTIS POS | |
| 0264 | Other | HIP | |
| MT000120 | Other | SELECT PRO | |
| 12033804 | Other | MULTIPLAN #P | |
| 4216513 | Other | AETNA USHC | |
| 7992734002 | Other | CIGNA | |
| N5509 | Other | OXFORD | |
| 133691938002 | Other | HEALTHFIRST | |
| 206742 | Other | PHS | |
| 2C6742 | Other | GOAVARAN PHS | |
| 0096283 | Other | GHI | |
| 133691938 | Other | PROCARE | |
| M00461 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002641 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1285622423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 E 67TH ST",
"address_2": "SUITE 4F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100216119",
"telephone_number": "212-628-2710",
"fax_number": "212-628-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 E 67TH ST",
"address_2": "SUITE 4F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100216119",
"telephone_number": "212-628-2710",
"fax_number": "212-628-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'FLAHERTY",
"first_name": "KEVIN",
"middle_name": "PAUL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0002641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "133691938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS POS",
"identifier": "OK0264",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "0264",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT PRO",
"identifier": "MT000120",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN #P",
"identifier": "12033804",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "4216513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7992734002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "N5509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "133691938002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "206742",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOAVARAN PHS",
"identifier": "2C6742",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0096283",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROCARE",
"identifier": "133691938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M00461",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.